SUSAN M PETERSON (NPI# 1154722858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154722858 |
| Entity Type | Individual |
| Full Name | SUSAN M PETERSON |
| Credential | R.N. |
| Practice Address |
5 4th Ave E. Polson MT 59860 |
| Mailing Address |
P.o. Box 880 St. Ignatius MT 59865 |
| Practice Telephone | 4067453525 |
| Practice Fax Number | 4067453529 |
| Mailing Telephone | 4067453525 |
| Mailing Fax Number | 4067453529 |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2019-12-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 75704 | MT | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801378021 | Susan Nell Peterson | Speech-Language Pathologist | 1045 18th St Sw, Huron, SD 57350-3464 | 2018-09-04 |
| 1366709750 | Susan Harper Peterson | Counselor | 1560 Olympia Cir, #103, Castle Rock, CO 80104-5464 | 2012-04-23 |
| 1972819712 | Susan Karen Peterson | Dietitian, Registered | 3965 Crystal Lake Trl, Faribault, MN 55021-7974 | 2010-08-30 |
| 1255475166 | Susan Peterson | Psychologist | 924 Old Harmony Rd, Suite 201, Newark, DE 19713-4184 | 2007-02-16 |
| 1922178839 | Susan F Peterson | Respiratory Therapist, Registered | 61 Broad Reach, T114-b, North Weymouth, MA 02191-2229 | 2006-11-08 |
| 1104908540 | Susan Peterson | Physical Therapist | 134 Drury Dr, La Plata, MD 20646-4241 | 2006-10-19 |
| 1013014349 | Susan K. Peterson | Social Worker | 1513 25th Ave, Seattle, WA 98122-3017 | 2006-09-20 |
| 1497860480 | Susan A Peterson | Occupational Therapist | 13253 E Playfield Dr, Crestwood, IL 60445 | 2006-08-20 |
| 1003854217 | Susan Mary Peterson | Registered Nurse | 20600 Milton Ct, Brookfield, WI 53045-4020 | 2006-06-02 |
| 1396738803 | Susan Margaret Peterson | Nurse Practitioner | J457 Kentucky Clinic, 740 South Limestone St, Lexington, KY 40536-0284 | 2005-08-30 |
| Street Address |
5 4TH AVE E. |
| City | POLSON |
| State | MT |
| Zip Code | 59860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154758134 | Richard Pierre | Pharmacy Technician | 5 4th Ave E., Polson, MT 59860 | 2013-10-04 |
| 1497182257 | Cynthia A. Ottun | Pharmacy Technician | 5 4th Ave E., Polson, MT 59860 | 2013-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679095020 | Ashley J Gilham | Registered Nurse | #5 4th Ave E., Polson, MT 59860 | 2017-07-07 |
| 1225585532 | St. Luke Community Hospital | Clinic/Center | 107 Ridgewater Dr., Polson, MT 59860 | 2016-09-02 |
| 1306202163 | Western Montana Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 7 13th Ave East, Polson, MT 59860 | 2016-01-11 |
| 1154730364 | Wanda L King | Dietitian, Registered | 6 Thirteenth Avenue East, Poslon, MT 59860 | 2014-08-13 |
| 1104255637 | Dacia Lee Antiste-fisher | Counselor | #5 4th Ave. E., Polson, MT 59860 | 2013-11-05 |
| 1154755197 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 36318 Memory Lane, Polson, MT 59860 | 2013-08-27 |
| 1245582022 | Catherine D Addison | Registered Nurse | 5 4th Ave. East, Polson, MT 59860 | 2012-10-04 |
| 1114220787 | Erika Ann Weber | Social Worker | #5 4th Ave. E, Polson, MT 59860 | 2010-12-21 |
| 1942431473 | Lisa L. Scalpane | Counselor | 803 Main Street, Suite C, Polson, MT 59860 | 2009-07-31 |
| 1477727956 | Bernadette N. Corum | Family Medicine | #5 4th Ave. East, Polson, MT 59860 | 2008-04-16 |
| Find all providers in zip 59860 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245582022 | Catherine D Addison | Registered Nurse | 5 4th Ave. East, Polson, MT 59860 | 2012-10-04 |
| 1083750731 | Milissa Renee Grandchamp | Registered Nurse | 5 4th Ave. E., Polson, MT 59860 | 2007-01-29 |
| 1912546466 | Kaelen Christine Wall | Registered Nurse | 5 4th Ave E, Polson, MT 59860-2117 | 2020-01-02 |
| 1770074478 | Diamond Tieafern Courville | Registered Nurse | #5 4th Ave. E., Polson, MT 59860 | 2018-05-29 |
| 1326599655 | Bobbi Jo Blackweasel | Registered Nurse | 5 4th Ave E, Polson, MT 59860 | 2016-10-21 |
| 1417293952 | Sabrina Dawn Bual | Registered Nurse | 5 4th Ave East, Polson, MT 59860 | 2013-01-02 |
| 1629370218 | Charlene A. Friedlander | Registered Nurse | 5 4th Ave East, Polson, MT 59860 | 2010-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265065726 | Jennifer Bahr | Registered Nurse | 2509 Putter Ct, Bozeman, MT 59715-8417 | 2020-02-12 |
| 1912547845 | Ame Marie Wells | Registered Nurse | 3555 Us Highway 93 N, Kalispell, MT 59901-6815 | 2020-01-08 |
| 1811536089 | Sara Rausch | Registered Nurse | 13027 Lebaron Ln, Alberton, MT 59820-9496 | 2020-01-05 |
| 1629636261 | Mikyong Hong | Registered Nurse | 735 Brooks St, Missoula, MT 59801-4008 | 2019-05-30 |
| 1275196446 | Sara Fenton | Registered Nurse | 821 N 27th St # 231, Billings, MT 59101-1121 | 2019-04-15 |
| 1487126249 | Mariah Marie Dempsey | Registered Nurse | 71972 Bitterroot Jim Rd, Arlee, MT 59821 | 2018-12-18 |
| 1134695380 | Traci Noel Tonkovich | Registered Nurse | 3 Valley View Dr, Clancy, MT 59634-9734 | 2018-10-15 |
| 1487140398 | Matthew Pett | Registered Nurse | Northern Montana Hospital, 30 13th St, Havre, MT 59501 | 2018-07-03 |
| 1932698958 | Deborah R. Farris | Registered Nurse | 33116 Us Hwy N., Elmo, MT 59915 | 2018-05-04 |
| 1831688282 | Melissa M. Main | Registered Nurse | 35959 Big Knife Ln, Pablo, MT 59855 | 2018-05-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.